摘要
目的:探讨不同给药途径在心肺复苏中的应用价值。方法:回顾性纳入急诊抢救室心脏骤停患者94例,采用经骨髓穿刺建立骨内通路者36例为治疗组,经外周静脉穿刺建立静脉通路者58例为对照组,均给予肾上腺素,观察2组建立输液通路所用时间和穿刺成功率和心肺复苏疗效。结果:建立骨内通路用时(77.70±21.09)s,建立外周静脉通路用时(260.1±102.24)s,2组差异有统计学意义(P<0.05);骨内通路穿刺成功率高于外周静脉通路(100%vs 86.21%,P<0.05),心肺复苏后自主循环恢复(ROSC)成功率骨内通路组高于外周静脉通路组(38.89%vs 18.97%,P<0.05)。结论:在抢救心脏骤停患者中,经骨内通路给药比经外周静脉通路给药更迅速,心肺复苏成功率更高,值得院前及院内急救推广。
Objective:To explore the application value of different drug routes in cardiopulmonary resuscitation.Method:Using retrospective research methods,94 patients with cardiac arrest in emergency rooms were included,and epinephrine was given by bone marrow puncture to establish intraosseous access and peripheral venous punctures to establish venous access,and the time and puncture success rate of two groups were observed to establish infusion pathways,and the efficacy of cardiopulmonary resuscitation in both groups was observed.The data of the two methods and the relevant clinical data were compared and analyzed.Result:The time used to establish intraosseous access was(77.7±21.09)s,and that to establish the peripheral venous access was(260.1±102.24)s with the difference between the two groups being statistically significant(P<0.05).The success rate of intraosseous access puncture was 100%,and that of peripheral venous access puncture was 86.21%with the difference between the two groups being statistically significant(P<0.05).After cardiopulmonary resuscitation,recovery of spontaneous circulation success rate in intraosseous access group was 38.89%,and that in peripheral venous access group was 18.97%with the difference between the two groups being statistically significant(P<0.05).Conclusion:In the rescue of patients with cardiac arrest,the administration via the intraosseous access was more rapid and convenient than the peripheral intravenous access,and the cardiopulmonary resuscitation success rate via the intraosseous access is higher.Therefore,the intraosseous access is worth to be popularized for pre-hospital and hospital first aid.
作者
梅冬兰
凌受毅
李世峰
罗婧
梅冰
王海嵘
MEI Dong-lan;LING Shouyi;LI Shi-feng;LUO Jing;MEI Bing;WANG Hai-rong(Suzhou High-Tech People's Hospital,Suzhou 215129,China)
出处
《内科急危重症杂志》
2020年第4期315-317,共3页
Journal of Critical Care In Internal Medicine
关键词
心脏骤停
心肺复苏
骨内通路
静脉通路
Cardiac arrest
Cardiopulmonary resuscitation
Intraosseous access
Venous access
作者简介
通信作者:凌受毅,E-mail:345144840@qq.com
